Active NPI
Hesham Elwakil, PT
- Specialist
- Staten Island, NY
National Provider Identifier
1740601541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 035314
- Practice address
- 11 Ralph PL Ste 210
Staten Island, NY 10304-4424 - Phone
- (917) 930-2018
- Fax
- (914) 407-1996
- NPI assigned
- Dec 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 035314 | NY | Primary |
Addresses
Primary practice location
11 Ralph PL Ste 210
Staten Island, NY 10304-4424
Mailing address
205 Mosely Ave
Staten Island, NY 10312
Phone (347) 283-5068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Ralph PL
Suite 217
Staten Island, NY 10304-4416
Phone (917) 930-2018
235 Wyckoff Ave
Brooklyn, NY 11237-5303
Phone (914) 758-5151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035314 | NY | MD | Specialist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1699205021
-
- Physical Therapy Clinic/Center
- Staten Island, NY
- NPI 1730810060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1740601541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 MOSELY AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10312",
"telephone_number": "347-283-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RALPH PL STE 210",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044424",
"telephone_number": "917-930-2018",
"fax_number": "914-407-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWAKIL",
"first_name": "HESHAM",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-20",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "035314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.